Individual
ANGELA NNEKA NWAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10964 139TH ST, JAMAICA, NY 11435-5500
(917) 617-1555
Mailing address
10964 139TH ST, JAMAICA, NY 11435-5500
(917) 617-1555
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
623122
NY
Other
Enumeration date
11/11/2009
Last updated
11/11/2009
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